NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1083148076 |   |   |   | ETOWN ADDICTION SOLUTIONS, LLC | PO BOX 897 | BOISE | ID | 837010897 |
1396397014 | CAROTHERS | SARA | ELIZABETH |   | 2645 LEITCHFIELD RD STE 104 | ELIZABETHTOWN | KY | 427018306 |
1497474902 | CARPENTER | GUNTHER |   |   | 2645 LEITCHFIELD RD UNIT 104 | ELIZABETHTOWN | KY | 427018306 |